Abstract
The introduction of the techniques for transvenous lead removal in clinical practice have changed the management of infected or abandoned implanted cardiac devices. Retention of functionless pacing leads is becoming relatively common because the performance of implanted leads decreases over time [1, 2]. Moreover, although the structural complexity of last-generation pacing leads (bipolar leads, preshaped leads, J-retention wire leads, etc.) allows better pacing therapy, it also exposes the patients to new and old complications such as crashes, insulation failures, cardiac chamber perforations, and venous occupation. Infection is another complication of the pacing systems; it is reported to occur in 0%–19% of patients [3,4].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Furman S, Behrens M, Andrews C et al (1987) Retained pacemaker leads. J Thorac Cardiovasc Surg 94:770–772
Zerbe P, Ponizynski A, Dyszkiewicz W et al (1985) Functionless retained pacing leads in the cardiovascular system. Br Heart J 54:76–79
Rettig G, Doenecke P, Sen S et al (1979) Complications with retained transvenous pacemaker electrodes. Am Heart J 98:587–594
Parry G, Goudevenos J, Jameson S et al (1991) Complications associated with retained pacemakers leads. Pacing Clin Electrophysiol 14:1251–1257
Byrd CL, Schwartz SJ, Hedin NB (1992) Lead extraction: indications and techniques. Cardiol Clin 10:735–748
Heidi JM, Neal EF, Byrd CL, Wilkoff BL et al (1994) Five-years experience with intravascular lead extraction. Pacing Clin Electrophysiol 17:2016–2020
Robboy SJ, Harthorne JW, Leinbach RC et al (1969) Autopsy findings with permanent pervenous pacemakers. Circulation 39:495–501
Byrd CL, Schwartz SJ, Hedin NB et al (1990) Intravascular lead extraction using locking stylets and sheaths. Pacing Clin Electrophysiol 13:1871–1875
Byrd CL, Schwartz SJ, Hedin NB (1991) Intravascular techniques for extraction of permanent pacemakers leads. J Thorac Cardiovasc Surg 101:989–997
Bongiorni MG, Petz E, Levorato D et al (1991) Removal of chronic leads for permanent pacing. Clinical experience with transvenous extractors. In: Antonioli GE (ed) Pacemaker leads. Elsevier Science, Amsterdam, pp 289–294
Bongiorni MG, Arena G, Soldati E, De Simone L (1994) A “step by step” protocol for lead extraction procedures: relation with success rate and complications. Pacing Clin Electrophysiol 17, 4 (II): 786 (abstr)
Reinhardt J, Alt E, Neuzner J et al (1993) Clinic pacemaker lead removal using a new method in 38 patients with 61 implanted leads. Multicenter experience. Pacing Clin Electrophysiol 16:1175 (abstr)
Byrd C, Wilkoff B, Love C et al (1997) Clinical study of the laser sheath: results of the PLEXES trial. Pacing Clin Electrophysiol 20, 4 (II): 1053 (abstr)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Italia
About this paper
Cite this paper
Bongiorni, M.G., Arena, G., Soldati, E., Gherarducci, G., Mariani, M. (2000). Lead Extraction: How Easy and Safe Is It Today?. In: Raviele, A. (eds) Cardiac Arrhythmias 1999. Springer, Milano. https://doi.org/10.1007/978-88-470-2139-6_65
Download citation
DOI: https://doi.org/10.1007/978-88-470-2139-6_65
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2178-5
Online ISBN: 978-88-470-2139-6
eBook Packages: Springer Book Archive